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CMS RVU26D · Effective 2026-10-01

94668 in Austin

Office / nonfacility

$41.23

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Respiratory therapy

About 94668: Subsequent manual chest wall therapy

Report 94668 for a subsequent session of manual chest wall techniques used to mobilize pulmonary secretions and support lung function.

94668 describes a later session of manually applied chest wall techniques, such as percussion or vibration, to help mobilize airway secretions. It may be used in respiratory care for patients who need secretion-clearance therapy, including people with chronic lung disease or an acute respiratory illness. A respiratory therapist or other qualified clinician commonly performs the treatment in an outpatient setting.

Use this code for a subsequent treatment, rather than the initial service represented by 94667. Documentation should identify the reason for secretion-clearance therapy, the manual techniques performed, and the treatment provided at that session. Under the CMS incident-to rule, the service is billed only when performed under physician supervision.

CMS billing rules for 94668

Professional and technical components
Incident-to service: billed only when performed under physician supervision.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU1.15 · 98%
  • Malpractice RVU0.02 · 2%

6.2K

Medicare services in 2024 · #1732 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

94668 compared with similar codes

Office rates for Austin, from the same CMS release.

94667

Chest physiotherapy

Initial demonstration or evaluation

$28.86

Choose 94667 for the initial manual chest wall treatment and 94668 for a subsequent session.

94669

Chest oscillation

Mechanical treatment session

$27.10

94668 describes manual techniques such as percussion or vibration; 94669 describes mechanical chest wall oscillation.

94640

Inhalation treatment

Acute obstruction or sputum induction

$9.13

94640 describes an inhalation treatment, not manual chest wall techniques for secretion clearance.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 94668 is $35.57—$5.66 lower than the $41.23 rate in Austin. Both use the same code, release and participation basis.

94668 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $41.23

  2. Beaumont

    $35.57

    $5.66 lower than Austin

  3. Brazoria

    $38.59

    $2.64 lower than Austin

  4. Dallas

    $38.83

    $2.40 lower than Austin

  5. $2.77 lower than Austin

  6. Galveston

    $38.70

    $2.53 lower than Austin

  7. Houston

    $39.06

    $2.17 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 94668 ranges from $33.34 in Arkansas to $55.75 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 94668

    Office

    $37.06

    Facility

    Unavailable

    $4.17 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 94668

    Office

    $45.88

    Facility

    Unavailable

    $4.65 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 94668

    Office

    $45.99

    Facility

    Unavailable

    $4.76 higher than Austin for the office setting.

  • Miami

    Florida · 94668

    Office

    $41.68

    Facility

    Unavailable

    $0.45 higher than Austin for the office setting.

  • Chicago

    Illinois · 94668

    Office

    $40.14

    Facility

    Unavailable

    $1.09 lower than Austin for the office setting.

  • Manhattan

    New York · 94668

    Office

    $45.69

    Facility

    Unavailable

    $4.46 higher than Austin for the office setting.

  • Alaska*

    Alaska · 94668

    Office

    $41.28

    Facility

    Unavailable

    $0.05 higher than Austin for the office setting.

  • Alabama

    Alabama · 94668

    Office

    $33.99

    Facility

    Unavailable

    $7.24 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 94668

    Office

    $33.34

    Facility

    Unavailable

    $7.89 lower than Austin for the office setting.

  • Arizona

    Arizona · 94668

    Office

    $37.79

    Facility

    Unavailable

    $3.44 lower than Austin for the office setting.

  • Bakersfield

    California · 94668

    Office

    $42.51

    Facility

    Unavailable

    $1.28 higher than Austin for the office setting.

  • Chico

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • El Centro

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Fresno

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Madera

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Merced

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Modesto

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Napa

    California · 94668

    Office

    $50.97

    Facility

    Unavailable

    $9.74 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 94668

    Office

    $45.82

    Facility

    Unavailable

    $4.59 higher than Austin for the office setting.

  • Redding

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Rest Of California

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 94668

    Office

    $42.67

    Facility

    Unavailable

    $1.44 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 94668

    Office

    $45.03

    Facility

    Unavailable

    $3.80 higher than Austin for the office setting.

  • Salinas

    California · 94668

    Office

    $44.88

    Facility

    Unavailable

    $3.65 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 94668

    Office

    $46.30

    Facility

    Unavailable

    $5.07 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 94668

    Office

    $54.47

    Facility

    Unavailable

    $13.24 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 94668

    Office

    $54.44

    Facility

    Unavailable

    $13.21 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 94668

    Office

    $55.75

    Facility

    Unavailable

    $14.52 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 94668

    Office

    $55.65

    Facility

    Unavailable

    $14.42 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 94668

    Office

    $44.11

    Facility

    Unavailable

    $2.88 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 94668

    Office

    $47.03

    Facility

    Unavailable

    $5.80 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 94668

    Office

    $45.15

    Facility

    Unavailable

    $3.92 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 94668

    Office

    $47.53

    Facility

    Unavailable

    $6.30 higher than Austin for the office setting.

  • Stockton

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Vallejo

    California · 94668

    Office

    $50.93

    Facility

    Unavailable

    $9.70 higher than Austin for the office setting.

  • Visalia

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Yuba City

    California · 94668

    Office

    $42.46

    Facility

    Unavailable

    $1.23 higher than Austin for the office setting.

  • Colorado

    Colorado · 94668

    Office

    $41.39

    Facility

    Unavailable

    $0.16 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 94668

    Office

    $42.18

    Facility

    Unavailable

    $0.95 higher than Austin for the office setting.

  • Delaware

    Delaware · 94668

    Office

    $38.55

    Facility

    Unavailable

    $2.68 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 94668

    Office

    $40.12

    Facility

    Unavailable

    $1.11 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 94668

    Office

    $37.72

    Facility

    Unavailable

    $3.51 lower than Austin for the office setting.

  • Atlanta

    Georgia · 94668

    Office

    $39.83

    Facility

    Unavailable

    $1.40 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 94668

    Office

    $35.06

    Facility

    Unavailable

    $6.17 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 94668

    Office

    $44.06

    Facility

    Unavailable

    $2.83 higher than Austin for the office setting.

  • Iowa

    Iowa · 94668

    Office

    $35.41

    Facility

    Unavailable

    $5.82 lower than Austin for the office setting.

  • Idaho

    Idaho · 94668

    Office

    $35.65

    Facility

    Unavailable

    $5.58 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 94668

    Office

    $36.68

    Facility

    Unavailable

    $4.55 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 94668

    Office

    $36.11

    Facility

    Unavailable

    $5.12 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 94668

    Office

    $40.63

    Facility

    Unavailable

    $0.60 lower than Austin for the office setting.

  • Indiana

    Indiana · 94668

    Office

    $35.93

    Facility

    Unavailable

    $5.30 lower than Austin for the office setting.

  • Kansas

    Kansas · 94668

    Office

    $35.06

    Facility

    Unavailable

    $6.17 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 94668

    Office

    $34.76

    Facility

    Unavailable

    $6.47 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 94668

    Office

    $36.90

    Facility

    Unavailable

    $4.33 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 94668

    Office

    $34.63

    Facility

    Unavailable

    $6.60 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 94668

    Office

    $46.46

    Facility

    Unavailable

    $5.23 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 94668

    Office

    $40.98

    Facility

    Unavailable

    $0.25 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 94668

    Office

    $42.04

    Facility

    Unavailable

    $0.81 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 94668

    Office

    $39.49

    Facility

    Unavailable

    $1.74 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 94668

    Office

    $35.75

    Facility

    Unavailable

    $5.48 lower than Austin for the office setting.

  • Southern Maine

    Maine · 94668

    Office

    $38.49

    Facility

    Unavailable

    $2.74 lower than Austin for the office setting.

  • Detroit

    Michigan · 94668

    Office

    $38.19

    Facility

    Unavailable

    $3.04 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 94668

    Office

    $35.82

    Facility

    Unavailable

    $5.41 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 94668

    Office

    $39.72

    Facility

    Unavailable

    $1.51 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 94668

    Office

    $36.72

    Facility

    Unavailable

    $4.51 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 94668

    Office

    $37.24

    Facility

    Unavailable

    $3.99 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 94668

    Office

    $33.76

    Facility

    Unavailable

    $7.47 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 94668

    Office

    $33.57

    Facility

    Unavailable

    $7.66 lower than Austin for the office setting.

  • Montana**

    Montana · 94668

    Office

    $39.08

    Facility

    Unavailable

    $2.15 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 94668

    Office

    $36.26

    Facility

    Unavailable

    $4.97 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 94668

    Office

    $38.68

    Facility

    Unavailable

    $2.55 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 94668

    Office

    $35.71

    Facility

    Unavailable

    $5.52 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 94668

    Office

    $40.57

    Facility

    Unavailable

    $0.66 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 94668

    Office

    $45.27

    Facility

    Unavailable

    $4.04 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 94668

    Office

    $42.68

    Facility

    Unavailable

    $1.45 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 94668

    Office

    $36.03

    Facility

    Unavailable

    $5.20 lower than Austin for the office setting.

  • Nevada**

    Nevada · 94668

    Office

    $39.01

    Facility

    Unavailable

    $2.22 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 94668

    Office

    $46.91

    Facility

    Unavailable

    $5.68 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 94668

    Office

    $42.87

    Facility

    Unavailable

    $1.64 higher than Austin for the office setting.

  • Queens

    New York · 94668

    Office

    $46.37

    Facility

    Unavailable

    $5.14 higher than Austin for the office setting.

  • Rest Of New York

    New York · 94668

    Office

    $36.96

    Facility

    Unavailable

    $4.27 lower than Austin for the office setting.

  • Ohio

    Ohio · 94668

    Office

    $35.74

    Facility

    Unavailable

    $5.49 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 94668

    Office

    $34.82

    Facility

    Unavailable

    $6.41 lower than Austin for the office setting.

  • Portland

    Oregon · 94668

    Office

    $43.17

    Facility

    Unavailable

    $1.94 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 94668

    Office

    $38.73

    Facility

    Unavailable

    $2.50 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 94668

    Office

    $40.78

    Facility

    Unavailable

    $0.45 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 94668

    Office

    $35.89

    Facility

    Unavailable

    $5.34 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 94668

    Office

    $39.49

    Facility

    Unavailable

    $1.74 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 94668

    Office

    $40.27

    Facility

    Unavailable

    $0.96 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 94668

    Office

    $36.06

    Facility

    Unavailable

    $5.17 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 94668

    Office

    $38.64

    Facility

    Unavailable

    $2.59 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 94668

    Office

    $35.27

    Facility

    Unavailable

    $5.96 lower than Austin for the office setting.

  • Utah

    Utah · 94668

    Office

    $36.71

    Facility

    Unavailable

    $4.52 lower than Austin for the office setting.

  • Virginia

    Virginia · 94668

    Office

    $38.23

    Facility

    Unavailable

    $3.00 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 94668

    Office

    $39.49

    Facility

    Unavailable

    $1.74 lower than Austin for the office setting.

  • Vermont

    Vermont · 94668

    Office

    $38.36

    Facility

    Unavailable

    $2.87 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 94668

    Office

    $40.96

    Facility

    Unavailable

    $0.27 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 94668

    Office

    $47.68

    Facility

    Unavailable

    $6.45 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 94668

    Office

    $37.00

    Facility

    Unavailable

    $4.23 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 94668

    Office

    $34.34

    Facility

    Unavailable

    $6.89 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 94668

    Office

    $38.91

    Facility

    Unavailable

    $2.32 lower than Austin for the office setting.

See how rates vary across the country

94668 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$33.34

$49.11

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$41.281
AL$33.991
AR$33.341
AZ$37.791
CA$42.46–$55.7529
CO$41.391
CT$42.181
DC$45.991
DE$38.551
FL$37.72–$41.683
GA$35.06–$39.832
GU$44.061
HI$44.061
IA$35.411
ID$35.651
IL$36.11–$40.634
IN$35.931
KS$35.061
KY$34.761
LA$34.63–$36.902
MA$40.98–$46.462
MD$39.49–$45.993
ME$35.75–$38.492
MI$35.82–$38.192
MN$39.721
MO$33.76–$37.243
MS$33.571
MT$39.081
NC$36.261
ND$38.681
NE$35.711
NH$40.571
NJ$42.68–$45.272
NM$36.031
NV$39.011
NY$36.96–$46.915
OH$35.741
OK$34.821
OR$38.73–$43.172
PA$35.89–$40.782
PR$39.491
RI$40.271
SC$36.061
SD$38.641
TN$35.271
TX$35.57–$41.238
UT$36.711
VA$38.23–$45.992
VI$39.491
VT$38.361
WA$40.96–$47.682
WI$37.001
WV$34.341
WY$38.911

Explore 94668 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 94668 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$45.35

$41.23 × 110% = $45.35

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 94668 in Austin.

PPRRVU2026_Oct_nonQPP.csv

12,419

Code
94668
Physician work
0.00
Practice expense
1.15
Malpractice
0.02

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 94668 in Austin
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0020.0000
Practice expense1.15× 1.0581.2167
Malpractice0.02× 0.8860.0177
Total RVUs1.2344
Conversion factor× 33.4009

Office / nonfacility rate, Austin$41.23

Open 94668 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.002
Practice expense1.151.058
Malpractice0.020.886

(0 × 1.002 + 1.15 × 1.058 + 0.02 × 0.886) × $33.4009 = $41.23

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

94668 · Office / nonfacility

$41.23

Effective 2026-10-01

The base rate is $2.07 higher than on 2025-10-01, moving from $39.16 to $41.23 (5.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $39.16changed to$41.23

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.14 changed to 1.15
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $39.16

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$41.23Not available in this settingRVU26D
2026-07-01$41.23Not available in this settingRVU26C
2026-04-01$41.23Not available in this settingRVU26B
2026-01-01$41.23Not available in this settingRVU26A
2025-10-01$39.16Not available in this settingRVU25D
2025-07-01$39.16Not available in this settingRVU25C
2025-04-01$39.16Not available in this settingRVU25B
2025-01-01$39.16Not available in this settingRVU25A

94668 billing questions

Can 94668 be reported for the first manual chest wall treatment?

No. 94668 is for a subsequent treatment; 94667 represents the initial service.

What documentation supports 94668?

Record the clinical need for secretion clearance, the manual techniques used, and the treatment delivered at the subsequent session.

Does 94668 describe mechanical chest wall oscillation?

No. It describes manually applied techniques. 94669 is the related code for mechanical chest wall oscillation.

Is nebulizer treatment included in 94668?

No. 94668 describes manual chest wall therapy, while 94640 describes an inhalation treatment. Report each only when that distinct service was performed.

What supervision is required for Medicare billing?

CMS identifies 94668 as an incident-to service; it is billed only when performed under physician supervision.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 94668PPRRVU2026_Oct_nonQPP.csv, line 12,419 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)